An international outbreak of Vero cytotoxin-producing Escherichia coli O157 infection amongst tourists; a challenge for the European infectious disease surveillance network
Autor: | A. L. Rojas, C. Gilham, G. Nylen, Tuija Leino, P. Leinikki, Marcos V.A.S. Navarro, Roland L. Salmon, Noel D. McCarthy, Richard Pebody, B. de Jong, R. M. Chalmers, L. Graverson, M. Donnelly, Thomas Cheasty, Patrick Wall, I. Fisher, Petri Ruutu, C. Bartlett, C. Furtado, Geraldine A. Willshaw |
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Jazyk: | angličtina |
Rok vydání: | 1999 |
Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent Epidemiology Bacterial Toxins Serological evidence Biology Escherichia coli O157 Shiga Toxin 1 Microbiology Disease Outbreaks chemistry.chemical_compound Enterotoxins Shiga-like toxin Risk Factors Environmental health medicine Humans Bloody diarrhoea Child Disease Notification Escherichia coli Infections Travel Outbreak Vero Cytotoxin-Producing Escherichia coli Infant Middle Aged Europe Infectious Diseases chemistry VTEC Infectious disease (medical specialty) Case-Control Studies Child Preschool Female Water Microbiology Research Article |
Popis: | In March 1997, an outbreak of Vero cytotoxin-producing Escherichi coli O157 (VTEC) infection occurred amongst holidaymakers returning from Fuerteventura, Canary Islands. For the investigation, a confirmed case was an individual staying in Fuerteventura during March 1997, with either E. coli O157 VTEC isolated in stool, HUS or serological evidence of recent infection; a probable case was an individual with bloody diarrhoea without laboratory confirmation. Local and Europe-wide active case finding was undertaken through national centres, Salm-Net and the European Programme of Intervention Epidemiology, followed by a case-control study.Fourteen confirmed and one probable case were identified from England (7), Finland (5), Wales (1), Sweden (1) and Denmark (1) staying in four hotels. Three of the four hotels were supplied with water from a private well which appeared to be the probable vehicle of transmission. The case-control study showed illness was associated with consumption of raw vegetables (OR 8·4, 95% CI 1·5–48·2) which may have been washed in well water. This investigation shows the importance of international collaboration in the detection and investigation of clusters of enteric infection. |
Databáze: | OpenAIRE |
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